2009 Insurance Rates

Full-Time Employees

Medical Individual Without HRA Individual
With HRA
Individual + 1 Without HRA Individual + 1
With HRA
Individual + 1 Spouse/Emp
With HRA
Family Without HRA Family With
HRA
Family Spouse/Emp With
HRA
Meritain PPO
$54.00 $44.00
$190.00
$180.00 $175.00 $217.00 $207.00 $202.00
Meritain Select HMO
$35.00
$25.00
$120.00 $110.00
$105.00 $140.00
$130.00 $125.00
Meritain CHA HMO
$48.00 $38.00
$180.00
$170.00 $165.00 $198.00
$188.00 $183.00
No Coverage
($33.00) ($43.00)
($33.00) ($43.00)
N/A ($33.00) ($43.00) N/A
No Coverage - ND Spouse
-- ($10.00)
-- ($10.00) N/A -- ($10.00) N/A

NOTE: Rates include medical and prescription coverage
HRA = Health Risk Assessment/WebMD HealthQuotient

Dental
Individual Individual + 1 Family
*Delta Premier (PPO) - 2009
$15.42
$27.52
$50.36
*Delta Preferred (PPO POS) - 2009
$20.02
$37.52 $67.94

NOTE: Mandatory two-year enrollment with a guaranteed rate structure.

Vision
Individual
Individual + 1
Family
Eye Med
$8.32
$15.72
$23.04